Vida Lynn Martin
Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child in Rome, OH. Individual provider (NPI-1).
NPI number1164021796
StatusActive
Last updated in NPPESOct 24, 2020
Details
- NPI
- 1164021796
- Entity type
- Individual (NPI-1)
- Name
- Vida Lynn Martin
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 24, 2020
- Certification date
- Oct 24, 2020
- Last updated
- Oct 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 385HR2060X | Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | – | – | Yes |
Practice location
5969 Us Highway 6Rome, OH 44085-9672
Phone 440-313-4514
Mailing address
5969 Us Highway 6Rome, OH 44085-9672
Phone 440-313-4514
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